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Home My WebLink About96-5868 BUILDING :.lo.- tJ7:/ ~~ Property Owne" ~~~ ~~ Job Address: ~ ~ - l"j -2';i(. Parcell.D. # BUILDING PERMIT 0 ~~.. ' . OTY OF ZEPHYRHILLS Permit N · . _ 586 S. /1 (813) 788-6611 PLUMBING ~:N~ Date -5~ -~ '/.- 7 b Sewer Conn Water Conn: Water Meter: T.I.F.'s: Zoning: Energy Code: . Description of Work l/!. u.;) r1;/ <::.-.. ~rnl'I~"nil_~...M~.IIiJ;I.Bt.~.l..~~~~ NO OCCUPANCY BEFORE C.O. ./,;. . Rad,!" G.., ..~ ~ -(;-y'.-LR ~ 12. ~ ~~ DATE Complete Plans. Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector ~mit F"~Z;. Signature Company Address Telephone# Valuation or ,.., , Contract Price ~ /U b . dV City License Registration # d.3 fj- State Certified License# ~/~~ ~5!/ ,-- .J-?;~ ; BUILDING ELECTRICAL PLUMBING MECHANICAL Ftr. Pre SLB Lintel FRM. Insul. CL WL Tp. Servo Rough In Meter Can Const. Pole Pool ,Pre-Meter Final SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor Final~ct<.. ~ur) - Driveway REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Fifteen and 00/100 Dollars ($15.00) shall be made for each trip for each trade: a. Wrong Address b. Condemned work resulting from faulty construction. c. Repairs or corrections not made when inspection called. d. Work not ready for inspection when called. e. Permit not posted on job site. f. Plans not at job site. g. Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. .: APPLICATION FOR PERKIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER'S NAKE a~.LL- :;z~ OWNER t S ADDRESS. 5" ~ 5' 3 /2 TIt. d r JOB ADDRESS 5~.5"? / L fir d- , PHONE 7~tik LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1. D. f (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition --Uteration _Repair _Install _SigQ _Move _Deaolish PROPOSED USE: V;;:gle Faaily _M/F _, of Units _M/H _ec:-ercial _Indust. _Swia. Pool _Other _Restaurant &: Health Departaent Approval DESCRIPTIOR OF 1iOJU(. 1/ bJ -:JI d ~ _ BUILDING SIZE: X Square Feet. Height RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. ATTACH (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERKITS REOUESTED _BUILDING $ Valuation of Total Construction _ELECTRICAL ---"EGHANICAL AKP Service Florida Power Corp. W.R.E.C. $ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fraae _Steel Other FDlISHED FLOOR ELEVATIONS: Fr. IS PROJECT IN FLOOD ZONE AREA? ****************************************** YES NO CONTRACTOR SECTION BUlI.DER PLUMBER COMPANY State Cert. or Regist. , City License Registration , ........................~~ RT.RGTRIGlAN ~ COMPANY ~~ ~ State Cert. or Regist. . SiJmAture City License Registration' ;Z ~ 7 ~ .......................................... COMPANY State Cert. or Regist. f City License Registration , ........................;;;g............. . . COMPANY .~~ ~ State Cer . or Regist. . City License Registration , 2. ~K ***********~****************************** Signature Signature MECHANICAL 0' Sipature (~ OTRF.R COMPANY State Cert. or Regist. , Signature City License Registration f ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit lay be subject to "deed restrictions" which laY be IDre restrictive than City regulations. The undersigned assUles responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they .ay be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor laY be cited for a lisdl!leanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building DepartJent, (813) 788-6611. FurtherJOre, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "Contractor Sections" of this application for whicb they will be responsible. If you, as the owner sign as the contractor, you are indicating that you, ratber than the contractor, are responsible for the work. If the contractor wisbes you to sign as contractor that laY be an indication that be is not properly licensed and is not entitled to perlitting privileges in the City of Zepbyrbills. " C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, bave been provided with a copy of 'Florida's Construction Lien Law - HOJeOWIlerts Protection Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is sOleone other than the "owner", I certify that I bave obtained a copy of the above described dOCUJent and prOlise in good faith to deliver it to the "owner" prior to COttenCetent. E. CONTRACTORtSjOWNERtS AFFIDAVIT I certify that all the infortation in this application is accurate and that all work will be done in cOlpliance with all applicable laws regulating construction, zoning, and land developlent. Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or installation has c-.mced prior to issuance of a perlit and that all work will be perfoIJed to leet standards of all laws regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of other goveIDlental agencies tay apply to the intended work, and that it is IY responsi~ility to identify wbat actions I lust take to be in cOlpliance. Such agencies include but are not liJited to:' * Departlent of EnviroDleDtal Regulation - Cypress Bayheads, Wetland Areas and Environaentally Sensitive Lands, Water/Wastewater Treatlent * Southwest Florida Water Hanagl!lent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses * AIIf Corps of Engineers - Seawalls, Docks, Navigable Waterways * Departlent of Health & Rehabilitative Services, EnvirODJeDtal Health Unit - Wells, Wastewater TreatleDt, Septic Tanks * US EnvirODlental Protection Agency - Asbestos abatl!lent I also certify that, if fill .aterial is to be used in Flood ZOne "A" or "A.etc.", it is understood tbat a drainage plan addressing a uCOlpensating voluteN will be subtitted wbicb is prepared by a professional engineer registered in the State of Florida prior to pertit issuance. A perlit issued shall be construed to be a license to proceed with tbe work and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor sball issuance of a pertit prevent the Building Official frOJ thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall beCOle invalid unless the work autborized by such perlit is coaenced within six IDntbs of issuance, or if work authorized by the perlit is suspended or abandoned for a period of six IOntbs after the tile the work is COllenced. One 90 day extension of tile, lily be allowed for the peIllit with fee charge of $15.00. Tbe extension sball be requested in writing to the Building Official. An approved inspection lUst be logged during each six IOnth period, or the project will be considered abandoned. WARlHHG TO OVHER: YOUR FAILURE TO RECORD A NOTICE OF COHHERCEHBHT HAY RESULT IN YOUR PAYING TWICE FOR IHPROVEIIBITS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINDCING, CONSULT WITH YOUR LENDER OR AN AftORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UlfDER $2,500 IN VALUE DO NOT MEED TO RECORD ~ltNOTICE ~F COHHENCEHBHT". SIW_: oomum ~~ STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this , 19~ by STATE OF FLORIDA ~ COUNTY OF ~ The foregoing instrument was acknowledged before me this !:> - - .;). 'f ,19 f 1:. by who is personally known to me or who has produced as identification and who did/did not take an oath. who i~nallY knO~ or who has produced as identification and who did/did not take an oath.c.j/. a ~ (Signature) /Y~ 6: L1 _d J1. c.. v __ /V/ CJ i) 5-r (Name Typed, Printed or/Stamped) I NOTARY PUBLIC (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC ",U"", N All""';', *I!'I"~ ancy . .........1 f:: . \~ ~ COMMISSION * cc~ ~~. . i February 21. 2000 -;~~ . BONDED THR\J TROY FAIN INSURANCl ~ P a. t t i eo 'E ~ eo c t y- i c Certlfied Electric & Mechanical Contracto~ 39111 Pattie Road Zephyrhills. Florida 33540 EC..12a. CNC.SB.7a L~i C.r.ifl.~ D..taft.;~~":;:r.Dr ~ha". (813) 7.2.331. r.. (.t~i ___-___1 Arthur Fish 5453 12th St. Zephyr-hills, Fl. 33540 5/22/96 RE: Installation, of Ale and El~ctric Upgrade. Mr. Fish Pattle Electric proposes to purchase and install necessary materlals for a 3 ton 'stralght cool cur condItIoner with 10kw heat strlp and asso~lated duct worK. ThIS proposal also provldes for the eXlstIng SerVlce to be upgraded to 150 amp and relocated to the north end of the house. existlng fuse panel to be sub-fed from new serVlce. Total cost for materIal, labor, tax, and perm1ts 1S $2755.02 (TWO THOUSAND SEVEN HUNDRED FIFTY SIX DO~LARS AND TWO CENTS). Payment to be, made upon satlsfactory completion of work. ~ctf l'ly, ~~ege El:~~:c SuperVisor Pattie Electric ACCEPTANCE OF condltlons are .aut hor i'2 ed to ,do as outlined. Date of acceptance: \. ~/2;z.. /9& Signature: '4~ -rA~f!2' PROPOSAL-The abcive prices, speclflcatlons, satisfactory and are' hereby ,accepted. You the work as,speclfled. Payment wlll be made -_. -"-.---~._.....,..... ~_..-----_.~- -.---.------- and are L_-' Ij' ". I" , ~' 'r, "- Ii . . '('", ''"''; \it; " ........""